3F Parent Survey 2017-2018
Your 3rd grader's first name
Your answer
Your 3rd grader's last name
Your answer
Name your child prefers for classroom use, if different from above
Your answer
Date of birth
Your answer
Address
Your answer
Parent/Guardian (#1) name
Your answer
Relationship to child
Your answer
Home phone
Your answer
Cell phone
Your answer
Email
Your answer
Do you give permission for this email address to be shared for classroom purposes? (i.e. group email from Mrs. Fairley, room parents)
Address (if different from child)
Your answer
Parent/Guardian (#2) name
Your answer
Relationship to child
Your answer
Home phone
Your answer
Cell phone
Your answer
Email
Your answer
Do you give permission for this email to be used for classroom purposes? (i.e. group email from Mrs. Fairley, room parents)
Address (if different from child)
Your answer
Best time to reach you
Your answer
Languages spoken at home
Your answer
Child's preferred/dominant language
Your answer
Siblings (please list their names, age, and class/grade, if they currently attend Baker)
Your answer
When did your child enter Baker School?
Your answer
How will you participate in the 10-minute "listening conference"?
Contact method for "listening conference"
Your answer
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